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F0838
E

Failure to Update Facility Assessment Following Change in Ownership

Council Bluffs, Iowa Survey Completed on 06-13-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to update its Facility Assessment to reflect current operations and resources necessary to care for its 26 residents. The most recent Facility Assessment provided was dated from July 2023 through June 2024 and still referenced the previous facility name, despite a change in ownership in February. The current CEO, acting as Administrator, confirmed that the assessment had not been updated since the new management took over. The Skilled Unit Manager/ADON reported being unable to access the previous owners' program to obtain policies and could not locate a relevant policy in the facility's binders. Additionally, corporate staff were asked to provide the policies they intended to implement, but as of several days after the request, no policies had been provided.

See complete original report
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